Active NPI
Tatiana Fenell
- Professional Counselor
- Milwaukie, OR
National Provider Identifier
1659917151
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 26-QMHA-R-8354
- Practice address
- 4105 SE International Way Ste 500
Milwaukie, OR 97222-8855 - Phone
- (503) 258-4545
- NPI assigned
- Nov 20, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 26-QMHA-R-8354 | OR | Primary |
Addresses
Primary practice location
4105 SE International Way Ste 500
Milwaukie, OR 97222-8855
Mailing address
4105 SE International Way Ste 500
Milwaukie, OR 97222-8855
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26-QMHA-R-8354 | OR | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1574208000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1772064000000",
"number": "1659917151",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4105 SE INTERNATIONAL WAY STE 500",
"city": "MILWAUKIE",
"state": "OR",
"postal_code": "972228855"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4105 SE INTERNATIONAL WAY STE 500",
"city": "MILWAUKIE",
"state": "OR",
"postal_code": "972228855",
"telephone_number": "503-258-4545"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FENELL",
"first_name": "TATIANA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-11-20",
"last_updated": "2026-02-26",
"certification_date": "2026-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OR",
"license": "26-QMHA-R-8354",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Milwaukie, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.